Vice President, Revenue Cycle Management- Remote

Med-Metrix; Parsippany-Troy Hills (NJ); On-site; USD 150,000 - 230,000; Full time

Job summary

Med-Metrix is seeking a Vice President, Revenue Cycle Management in Parsippany, NJ to lead the A/R team handling insurance balances, denied claims appeals, and overall accounts receivable resolution for clients. The leader will drive client relationships and optimize revenue cycle operations.

The role requires deep domain knowledge, strategic oversight, and the ability to implement efficient processes across payer environments while ensuring HIPAA compliance and data security.

Qualifications

• BS in Accounting or Finance; MBA and/or CPA desirable.
• 10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company.
• Analytical and problem solving skills; understand reimbursement structures and regulations.

Responsibilities

• Oversee the A/R team responsible for collecting outstanding insurance balances and appealing denied claims.
• Resolve A/R for clients and maintain strong client relationships.
• Provide assistance/resolution to external and internal client inquiries.
• Prepare reports or logs as required.
• Maintain knowledge of healthcare regulations; ensure HIPAA compliance.
• Identify trends in payments/denials and advise corrective actions.
• Support Business Development during the sales process.

Skills

Financial leadership

Analytical skills

Communication

Regulatory knowledge

MS Office

Education

Bachelor's in Accounting/Finance

MBA/CPA desirable

Tools

MS Office Suite

Job description

Job Purpose
The Vice President, Revenue Cycle Management will oversee the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. The Vice President, Revenue Cycle Management will have a major impact on the ongoing partnership with clients by demonstrating finesse with client relationships, thorough knowledge of client needs and Revenue Cycle operational expertise.

Job Purpose
The Vice President, Revenue Cycle Management will oversee the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. The Vice President, Revenue Cycle Management will have a major impact on the ongoing partnership with clients by demonstrating finesse with client relationships, thorough knowledge of client needs and Revenue Cycle operational expertise.
Duties And Responsibilities

• Provide assistance/resolution to external and internal client inquiries
• Prepare reports or logs as required
• Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
• Maintain a current working knowledge of all healthcare related issues and regulations
• Report any detected trends in payments or denials, as well as procedural problems, to the client and make recommendations regarding the correction of these trends and/or problems
• Learn and comply with organizational and departmental policies and procedures
• Analyze and solve problems quickly and thoroughly
• Establish realistic goals and priorities concurrent with organizational objectives
• Provide support to the Business Development team during the sales process
• Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
  

Qualifications

• BS in Accounting or Finance, MBA and/or CPA highly desirable
• 10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company
• Analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes
• Knowledge of governmental, legal and regulatory provisions related to collection activity
• Knowledge of insurance company practices regarding reimbursement
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
  

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment: The noise level in the work environment is usually minimal
  

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.